CLAUDINE J FAIRCHILD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009881

License Status

NOT RENEWED

Business

First Name

CLAUDINE J

Last Name

FAIRCHILD

Business Name

CLAUDINE J FAIRCHILD

Original Issue Date

12/24/1996

Effective Date

12/24/1996

Expiration Date

09/30/2004

City

WEST DUNDEE

State

Zip

60118

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005